Graduated: 1989
NPI: 1922064955
Practice Locations (3)
BLUE LOTUS MEDICAL GROUP LLC
7600 CHEVY CHASE DR, SUITE 300
AUSTIN, TX 787521599
8179106711
126 W NOPAL
UVALDE, TX 788015210
126 W NOPAL ST
UVALDE, TX 788015210
8302787101
Source: CMS National Downloadable File, September 2026.